Janifer Jensen

Individual provider Active NPI Attendant Care Provider · Saint Michael, ND

NPI 1265129092 · NPPES record last updated Apr 21, 2023

Key facts

NPI
1265129092
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
4047 78TH Ave NE
Saint Michael, ND 58370-5837
Phone
(701) 350-1334
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider
Group: 193400000X SINGLE SPECIALTY GROUP
3747A0650X Yes

Addresses

Primary practice location

4047 78TH Ave NE
Saint Michael, ND 58370-5837

Mailing address

PO Box 67
Fort Totten, ND 58335-0067
Phone (701) 350-1334

Other providers in Saint Michael, ND

All providers in Saint Michael, ND · Attendant Care Provider in North Dakota

Sources for this page

Verify at the official NPI Registry.